Active NPI
Kean DC PC
- Chiropractor
- Washington, NC
National Provider Identifier
1790841005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 2937
- Legal business name
- KEAN DC PC
- Doing business as
- Siegel Chiropractic Center
- Practice address
- 108 Avon Ave
Washington, NC 27889-3841 - Phone
- (252) 946-5101
- NPI assigned
- Dec 29, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Scott M Siegel, D.C.
- Title
- President
- Phone
- (252) 259-1443
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 2937 | NC | Primary |
Addresses
Primary practice location
108 Avon Ave
Washington, NC 27889-3841
Mailing address
108 Avon Ave
Washington, NC 27889-3841
Phone (252) 946-5101
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5922361 | Medicaid | NC | |
| DQ5842 | Other | MEDICARE RAIL ROAD |
Other names 1
- Siegel Chiropractic Center
National Provider Directory
National Provider DirectoryLocations
845 Johns Hopkins Dr
Greenville, NC 27834
Phone (252) 259-1443
108 Avon Ave
Washington, NC 27889
Phone (252) 362-6114
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Houston, TX
- NPI 1003827379
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167350400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1370822400000",
"number": "1790841005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 AVON AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893841",
"telephone_number": "252-946-5101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "108 AVON AVE",
"city": "WASHINGTON",
"state": "NC",
"postal_code": "278893841",
"telephone_number": "252-946-5101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KEAN DC PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-29",
"last_updated": "2013-06-10",
"status": "A",
"authorized_official_last_name": "SIEGEL",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "252-259-1443",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.C."
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor",
"state": "NC",
"license": "2937",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5922361",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAIL ROAD",
"identifier": "DQ5842",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Siegel Chiropractic Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Washington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.